HomeMy WebLinkAbout05-3727
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3727
Permit Number: 3727
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
10,000.00
1/04/2004
270.25
270.25
1/04/2005
ADDITION TO HOME
Address: 38733 11TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: ELAINE & DALE MANNING
Address: 38733 11 TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
HOMEOWNER
HOMEOWNER
N
PLUMBING FEE
45.00
L
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
l~ 'i3d t'~ ~
RACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8ft St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 6~ I / ,~
DATE RECEIVED Jt^( Jt t!1r
PA-SCo PcRMlT SE"RIfI<
PHONE CONTACT FOR PERMITTING l-<gfC(.,-g).l.{-789tf
\
)
,
E / (Lt~ Cf- fide m ~Z
0J>78 jj)L-AAte '. /"k/~
LEGAL DESCRIPTION: LOT(S) /~..,. /3 BLOCK '-/9
11- ~~ -JI- ()()/() - 01./900- O/~
OWNER'S NAME
, PHONE
JOB ADDRESS
WORK PROPSED: oNEW CONSTRUCTION
oSIGN
PROPOSED USE:~SGL FAMILY DWELLING
o COMMERCIAL
tit ADDITION
o MOVE
SUBDIVISION U-lj Of ZRPLI/I~IJ!r
c:: ~ ~ ~
(ORTAIN FROM PR PERTY TA NO ICF.
PARCEL ID #
oALTERATION
o DEMOLISH
o REPAIR
o INSTALL
oMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o RESTAURANT
.
DESCRIPTION OF WORK a...d '- L .) / oi..-
I
I tl ~ ~IJ I
& HEALTH DEPARTMENT APPROVAL
~ it dIU IcL'~rJ-</ I
~f') OP J
SQUARE FOOTAGE Ol (1 (J
HEIGHT
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
~ BUILDING
o ELECTRICAL
PERMITS REQUESTED
f\JlfJID ~f~~ t/
~\.lL4-~f
$ /tJ. em. ()}
,
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W..R.E.C.
o PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o GAS 0 ROOFING 0 SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAo YES 0 NO
SIGNATURE
t~/C CU'r\ Q
C~TOJt;i~'SECTION
~ ,-~ .~ "'.~- ..' _.- _: ":-,:,';-, ._:':_''-A~<>.'.,,,.,'~:' ,';,,:_ >~.~:. .; _.;";". ..._: ~', ..:.' '.:, ;
COMPANY /;OM ot.JJlJlr
BUILDER
c 11) Q/,;V}V? _/&- .
STATE CERT OR REGIST #
******************************************************************
, ELECTRICIAN
SIGNATURE t'11 CL'",,- C Y11 Ml/1V0>1
COMPANY
hOIAL OIVMr
STATE CERT OR REGIST #
******************************************************************
PWNBER
eyLlU"'- C ~1l/7VVj1
(
COMPANY
h 0 /)...R. ()tU~
SIGNATURE
STATE CERT OR REGIST #
MECHANICAL
******************************************************************
SIGNATURE
N D ()1 tL.-1f /TN I C/fL
t.~:5 F ELE crr< Ie !fE77TE K
COMPANY
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than city regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor ~s not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the ~1~1l -
City of Zephyrhills Building Department, 813-780-0020. ,',,4
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor{s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, ratber than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT '
I certify that all the information in this application is
be done in compliance with all applicable laws regulating
development.
Appli~ation is hereby made to obtain a permit to do work and installation as indicated. L
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I must take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive ~
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF yOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ,
-......
accurate and that all work ~l
construction, zoning, and land
,
,"'~
".4'
"-
:=:-> . \
~x (LL'rJ C. ~rd/l 0 /?1/ru~-&
SIGNATURE: OWNER OR AGENT .
>~'v
v/ O-l,'~. C '7.11\ OJ}"'}'\! /Y''C)-
SIGNATURE: CONTRACTOR
STATE OF FLORIDA ''PctscC)
COUNTY OF
The foregoing instrument was acknowledged
Before me this 7i'^-day ofV<""(, , 20 ct
by
(name of person acknowledged)
Ckho is personally known to me, or
STATE OF FLORIDA V'
COUNTY OF La SC-D
The foregoing instrument was acknowledged ,
Before me this ~ day of D~c; , 2Q2J
by
(name of person acknowledged)
(]who is personally known to me, or
~hO has producedD, L I
(type of identification)
andwh~ did 8tiid not ,-;:~ke an? oath.
'0 /-.t-l~'i ~<.. K.)c,---l~
Si~nature of person taking acknowledgement
, Suzanne Barn
<.,~~~Y~~II~" \
Name typed, ~J. ',~ lWPi~~P~6\, 2006
-:';'~" ..;f.~ Bonded Thru
/1/~~/~~\f;~'" Atlantic Bonding Co., Inc.
ISVwho has produced D. l. '
(type of identification)
and who ~id not take oath
V)CI
Signature of p rson taking acknowledgment
,~~"'" :suzanne Batrr
/..Q~>:,'.~(j~;;'", ('ommission #DDl5113l
Name tYPedi*:,~t;:-EB*pOIS: 1l1t:1'8~~06
"-,<I>"" . . . . .~: Bonded Thru
,~...&. \
/IIJ'I~~~0\" Atlantic Bonding Co., nc.
Elaine & Dale Manning
38733 -11th Ave.
SQ. FEET PRICE
MAIN OR LIVING: 360 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 18,000.00
FEE SHEET $ 120.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 180.00
CREDIT: $ -
BUILDING LESS CREDIT: $ 180.00
ELECTRICAL: $ 41.65
PLUMBING: $ 45.00
MECHANICAL: $ -
SUB-TOTAL $ 266.65
RADON: $ 3.60
TOTAL $ 270.25
SEWER: $ -
WATER: $ -
IRRIGATION: $ -
TOTAL: $ -
I
I
I
I
I
I
WATER METER:I $
IRRIGATION METER $
PARK IMPACT FEESI $
SUB-TOTAL $
- I
- I
270.25 I
SIPS:I $
97.5% $
2.5% $
- I
- I
T IF'S :1 $
99% $
1% $
TOTAL: $
270.25 f
FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
FORM 600C-ol Residential Umited Applications Prescriptive Method C CENTRAL 4 5 6
Small Additions, Renovatlona & Building Systems
~ IliI1 MeIlodC d Chapllr 6 d I1e AlIida &lelgy Ellcin:yCode IllIIJ bedenllnsnled~11e use 01 FamllX&Ollor adlIiJns d OOOSlJlll8Iee1 or Jess." i1sIaIedaJll1lOOlll1l5 0I1IIlIIIal:llred Iones, and
I\WI8IionS 10. and 1IlSiden:es. AIIemaIive n. lor adlIiJns use 01 FamOOOll-Ol or llOOMll.
PROJECT NAME: BUILDER: 0 ~ 3 ~ / dd g
AND ADDRESS: PERMnTlNG CUMATE D D D
OFFICE: ZONE: 4 5 6
OWNER: :Da.~ oJ. E"la.i",,," MA",Vl " PERMlTNO.ITImIJJ JURISDICTION NO.: CII:IDJ
SMAI.l ADOITIONS TO EXISTING RESIDENCES (OOOS\pIe Ieel or less 01 ;rea).. ~ reqI.ftmenIs it Tables 6C-l. 6C-2 and lC-3 ~ en,1D lie ClJI1lCXII!dS 0I11e adon. rd 10 I1e exisli1g 1UIlhJ.
Spa healing. c:ooIiw1 and water IleaIOJ ecMmri elb!ncy1ewelB nul be me! en, MIen lllf.ipmeItis ilSlIIIed speciIi:aIy 10 _!he lIltiIionor is being inslaIedit~ will !he lIltiIion cmstuclion. ~
SIlJlIQlD.IIII:IlIdliooedSfJllCllS lromallda1ed SfJlIClIS null18lll1e pesaIJed nWinu1l iIsIMIIlMIs. RENOVATDIS (flesiIenia bIti1gs IRIelgoiJg I1II1OIfiIIlIIs CllllliJd 1lO8"':Jl'lI, oIl1eassessed yahJe 01 !he
Iu1liQ. ~ reqI.ftmenIs it T....lC-lln1 &c.2 appIrlriy IDlIlIaJlI1lOOIlI1I5:n1l!lJi1m111 beq l8lIMIled or IeJIIaI:ed. MN<<JFACT\IIED tQl;SNIlIU.DN>S. ~ silHIsIaIedaJll1lOOlll1l5ln1leams
naMlll!d~IisIllln.IIUl.DI<<2SYSTEMS~""~newsystBmisi1slaled. PI__ Print CK
1. Renovation, Addition, New System or Manufactured Home
2. Single family. detached or Multifamily attached
3. If Multifamily-No. of units covered by this submission
4. .caRdillo.dofloor area (sq. ft.)
5. Predominant eave overhang (ft;)
6. Glass area and type:
a. Clear glass
b. Tint, film or solar screen
7. Percentage of glass to floor area
8. Floor type and insulation:
a. Slab-on-grade (R-value)
b. Wood, raised (R-value)
c. Wood, common (R-value)
d. Concrete, raised (R-value)
e. Concrete, common (R-value)
~. Wall type and insulation:
a. Exterior:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
b.. Adjacent:
1. Masonry (Insulation R-value)
2. Wood frame (Insulation R-value)
c. Marriage Walls of Multiple Units. (YesINo)
10. Ceiling type and insulation:
a. Under attic (Insulation R-value)
b. Single assembly (Insulation R-value)
11. Cooling system.
(Types: central, room unit, package terminal A.C., gas, existing, none)
12. Heating system.: (Types: heal pump, elee. strip, nalural gas, LP. gas,
gas h.p., room or PTAC, existing, none)
13. Air Distribution System.:
a. Backflow damper or single package systems* (Yes/No)
b. Ducts on marriage walls adequately sealed* (Yes/No)
14. Hot water system:
(Types: elec., natural gas, other, existing, none)
* Pertains to manufactured homes with sile InstaRed components.
1. ..Add.i.:bL~
2. 6i"t)l t:..
3.
4. O? g~ t/:1
5. ~'
Single Pane Double Pane
6a. .3'B ~ 5" sq. ft. sq. ft.
6b. sq. ft. sq. ft.
7. .13 %
8a. R= CJ 3.f lin. ft.
8b. R= sq. ft.
Be. R= sq. ft.
8d. R= sq. ft.
Be. R= sq. ft.
9a-1 R= 5 ..J 81/ sq. ft.
9a-2 R= sq. ft.
9b-1 R= 5 I '1 ;>. sq. ft,
9b-2 R= sq. ft.
ge
lOa. R= 30 ..?~g sq. ft.
lOb. R= sq. ft.
11. Type:
SEERlEER: ./
12. Type: ./
HSPF/comFUE,:
13a. Type: .;;;d-~<e ,
13b.
14.
EF: 'JttSflij
I hereby certlly~t IF plans and specifications covered by the calculation are. in
compliance with the iida Energy Code.~. ,~
PRePAReD BY: _ ~'""""- _ DATE: -L.:::J.-::Q.q
I hereby certify tthis bu is in compliance with the Florida Energy Code.
OWNERAGEm: DATE.
Review 01 plans and speciIicalions CCMll8d by Ihis ClIIcdaIion indc8tes compliance
with the FlorIda Enelgy Code. 8eIclI8 c:onslIuCliCln Is COIIIIlIeIed.lhis building will be
inspected lor cornpiance in aa:ordance wilh Section 553".!108, F.5.
BUILDING OFFICIAL: _ _
DATE:
FLORIDA BUILDING CODE - BUILDING
13.203
Climate Zones 4 5 6
TABLE 6C-l : PRESCRI'11VE REQUIREMENTS FOR SMAU. ADDIl10NS (&00 Sq. Fllllllllst),IIEHOVA11ONS TO EXIST1NG 8UIUIlNGS AND SITE-NTALLED COMPONENTS OF MAtIlfAClUlED HOMES.
~
~
COMPONENT
CQncrete Block
Frame, 2' x 4'
Frame. 2' x 6'
Common. Frame
Common. Masonry
Under AttIc
Single Assembly; Enclosed
, Frame
Metal Pans
Single Assembly; Open
Common. Frame
SIab-on-grade
Raised Wood
Raised Concrete
Common, Frame
In unconcIitioned space
In conditioned space
MINIMUM
lNSULA110N
R-5
R.l1
R-19
R-l1
R-3
R-30
R-19
R-13
R-l0
R-l1
No Minimum
R-ll
R-5
R-ll
R-6
No minimum
IHSU\.ATlON
, INSTALLED
MINIMUM
EFFICIENCY
SEER "" 10.0
SEER = 9.7
EER = 8.5*
INSTAl.LED
EmCIENCY
SEER "" _
~:=
HSPF =
HSPF =
HSPFI =
COP
AFUE =
AFUE =
EF ""
EF =
EF ""
II)
(!)
Z
J
W
o
II)
a:
~
u.
~
F<-~
I<' - :~D
S!
~
EQUIPMENT
Central AJC - Split
-Single Pkg.
Room unit or PTAC
Get certified SHGC from the manufacturer or use defaults: SlngIe clear SHGC = .87, double clear SHGC "" .78. and single tint SHGC = .75.
/"
/
Electric Resistance ~y
Heat pump. Split HSPF = 6.8
. Single Pkg. F "" 6.6
Roomun~'torPTHP COP "" 2.7*
Gas, natural ropane AFUE = .78
Fuel 011 'AFUE = .78
.....l!! 'EI~ Resistance EF "" .88
~ ~ .A;;s; . Natural or LP. EF = .54
./ Fuel Oil EF - .54
Combustion
tin
Water Heaters
606.1
612.1
o
~
:r
~
0-
m
v
SwImming 612.1
Pools & S s
Hot Water PI 612.1
Shower Heads 612.1
HVAC Duct 610.1
Construction,
Insula & Installation
HVACControls 607.1
GENER.6L DIRECTIONS:
t. On TaUe 6C-1 ideate 1he R-vaIue 0I1he iIsIAaklnbeirWJaddIld 10 each~am 1heelfc:ieR:y1evels ollie ecppmenl beingilslaled. M R-vUs am eIbln:ies ilslaled nul meet ~ eaed lhen01unvalues IisIed.
~;nI ~neilherbeingaddedOO' renovaled IIliI1 beleltblalt.
2. AllIJI1'OIS ONly, IleIenrine lhe pen:llIllageol /IIIIIps IOcmIiIioned IkIor 8IIllI in I1ellkllilnas ~ TolaIlhe aII!llS 01 III glass willows, silIng glass doors lnIg1ass 000r JllIlllIs. DcQIIe I1elllll 01 allIOMllIli:aI roof
glass arxIlIkIi 10 I1e peviu IOllII. WIBI glass in exislng llldericr waDs is beingllllllOved~ endosedlrf lleadllliln, a1811101ftecplllolhe IOlIIllllll 0I11is glass IIliI1 be ~ Iran Ihe IOIaI glass area. 0Mde the ~
glass8llllllOlllllrfl1e00llliicnld Iocr areaoll1eaddilkn ....lrf IOOlOgetl1epen:lllt Fnll1elalgeslglasspen:lllllage lRkrwli:hycucak:Ullledpen:lllllage lalsm TaIlIe6C2. ~818ljvenl7t Iletypeolglass
(SiYie ~ DcQIIe plIlll) arxIlle CIVeIh8PtI (Qilp;i!edwilla__gailc:ceIIi:ilI1l (SII3C). Fa aljvenglass tiPBP OIIl!Ihang.l1emiinuDDr heel gailc:oeIIi:illnIlIIIoMld is specied. AcllS glass wi1IIMs ancldoors
previousIyinlleexlllriorwalsollh8housePbeinglllinslaledinlheadllbldooolhlMllOoonWwiIllleClVelh8PtlPDrhealgailallllll:ilnl8qlir8monls1ll TaUe6C-2. M/IIIIIgIass inlleadllblnuslmeellle reqIftmenl
lor one ollie..... in 1Ie_ peIQIIlIaglIcaIegOIyyw iIbBL TIle lI't'IlIIlarV (Ql) dIliIa is fIIlISII8d peIJlIlIlIIcdar from lie lal:eol..QIass 10 a poitdiedly IftIer lie 0IIIlnmSl edge ollie lMlIhanJ.
3. RENO/ATO!Sau. IIIIpIIl:emeItQlassneeds IOmeel..lliallirQ........ hrlglalslparxlSlBheelgincoelll:ilrilllil1beused IorQlass naswli:h8l8lft1eratle8sla Iwo/ootCMlllllqandwhoseMsl edge
does ool8lllend ....1Ilan8Iee1from..UiIllIwlg. Glass lIl!lIS being llIIDI'IIIIild IlaI do IIlll meellisallerial1Ull be eiIlersiJje-plll8 hld. dcUllB-panB dell' ~ dcUllB-panB linled
4. BULOlNG SYSTEMS. CorVI when new system is inslaIed lor syslelIl insIaIed.
5. ~ Ih8 ftormaIion IlllplSled on lie lop haH 01 page I.
6. Read'\1ininUn Reqlir8menIs lor SlId Addilims P RenovaIions". Table tXN. and chB:k aI appIk;aIlIe ilems.
7. f\ead, SV1 anlI dale lie "OwrwldPqdClll1icalo1 slaIemeIt m page 1. .
13.204 FLORIDA BUILDING CODE - BUILDING
* see Table 6-3. 6-7
1/1111111111111111111111111111111111/111111111111111111I1111
2004228541
NOTICE OF COMMENCEMENT
F (<Jrt-d a.,
County of
fJ tL J(! ()
State of
THE ImOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement:
1.
Descr iption of Property: Parcel No.
La I-!J~ J d--.f 13 Ii {./~ ~
(Legal descr~pt~on of the property and
/1-illG -r}/- O()/(j- ()I.ffoo- OIJ-d
CL' 0';; a. . ~ lit
address ~ ava~lable)
I
/ oL X oLt/ I
2.
General Description of Improvement
R-eJdn1
td/ ~l-k)~
Rcpt: 837166
OS: 0. 00
12/09/04
Rec: 10.00
IT: 0.00
Dpty Clerk
(f1fJ!R;....'~f,'.~3
,; "~ .
" .,~,.
I- E/~k /l) CUl /l ill ti
Z.P fJiJr> it i/f
.J
Owner Information: Name /JIL./e
l~ddress 33733 jj'fi-- AI/f'
City
State FI. J3S-Y()
Interest in Property:
Name of Fee Simple Titleholder:
(If other th~n owner)
JEO PITTMAN~ PASCO COUNTY CLERK
12/09/04 0::11 : 24am 1 of 1
OR BK 6142 PG 1406
Address
City
State
4. Contractor: Name
Address
City
State
5. Surety: Name
Address
City
State
Amount of Bond: $
6. Lender: Name
Address
City
State
7. Persons within the State of Florida designated by Owner upon whom
notices or other documents may be served as provided by Section
713.13(1)(a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. E:xp1.rl1t.ion d8te of NotIce of Commencement. (the expIration date is 1 year
fr~rn the date of recording unless a different date is specified.)
(....c-:' t.
o Signature of Owner: 1->'(7,), Ii :"~r}\ )'h.li( ,<-(:-"!
f \\
Swornts> ,i,ind subscribed before me this 7 ~\ day of '7)<:::ce"lA-lh?r
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!.~~~~.~:: Ca~mjssion #001571.11
".;;'" ,,'s:..f ExpIres: Nav 15,2006
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Notary Public:
'Commission Expires: ;
Permission-OwnerBuilder.txt
Name
E'/ tL(~
4
/l7 ILl} /} I f)t;
J
31733 II-Il Ale
Address
u,PL,rk/;J PI. 33-fVo
To Whom It May Concern,
Please be advised that:
Suzanne Bahr, Stacie Zullo, & Debbie Dokendorf of Pasco
Permit Service have my permission until further written
notice to sign and pick up permits for me.
Sincerely,
( -
C C-l-v\,u_-, ll\\ cvrvrL
signature
NOTARY
STATE OF FLORIDA - COUNTY OF PASCO
The foregoing
subscribed before
Personally known
instrumen~as sworn~d L~_
me this ~ day of '. 0 \Y\~
or Produced identification )(
6)oo\.j
~ AOBlNGREEN
NotaIy NIle, SIBle 01 AlrIda
My Como,....., e.pn. M8IrJ1
Co.,.,......, No. 185719
Commissioned Stamp
and Expiration Date
Page 1
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRBILLS BUILDING DEPARTMENT
I,
agree to the provisions of this instrument.
have read and fully understand and
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile" that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1.
That the owner and he or she alone shall act as the builder for all phases of
construction.
That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice, to pay additional fees.
That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc., where applicable.
That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulations.
/;7
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PHONE
2.
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4.
5.
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9.
Y::y4
/ /~ /OJ-
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DATE
WITNESS
PERMIT #